| NPI | 1285900092 |
|---|---|
| Former Name | JESSICA J DONALDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01075392A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11016690A) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2023-11-27 |